OREGON DENTAL SERVICE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- OREGON DENTAL SERVICE (EIN 93-0438772)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202213159349304391
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T14:04:31-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 NEW YORK AVENUE NW SUITE 1100 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930438772 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OREGON DENTAL SERVICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DAVID EVANS | InCareOfNm |
| Business Name Control | OREG | BusinessNameControlTxt |
| Phone | 5032286554 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SW SECOND AVENUE | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 972043154 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID EVANS | PersonNm |
| Person Title | Senior VP & CFO | PersonTitleTxt |
| Phone | 5032286554 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | EVANS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 000000000 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Travis L Patton | PreparerPersonNm |
| PTIN | P00369623 | PTIN |
| Phone | 2024141000 | PhoneNum |
| Preparation | 2022-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID EVANS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SW SECOND AVENUE | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 972043154 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $628,173,784 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $494,989,906 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $537,595,833 | CYProgramServiceRevenueAmt |
| PY Investment Income | $120,253,007 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,333,684 | CYInvestmentIncomeAmt |
| PY Other Revenue | $115,163,897 | PYOtherRevenueAmt |
| CY Other Revenue | $84,207,928 | CYOtherRevenueAmt |
| PY Total Revenue | $730,406,810 | PYTotalRevenueAmt |
| CY Total Revenue | $628,137,445 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $290,353 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $250,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $430,036,617 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $471,618,232 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $70,254,008 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $70,333,235 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $52,766,988 | PYOtherExpensesAmt |
| CY Other Expenses | $51,965,405 | CYOtherExpensesAmt |
| PY Total Expenses | $553,347,966 | PYTotalExpensesAmt |
| CY Total Expenses | $594,166,872 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $177,058,844 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $33,970,573 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $400,430,033 | TotalAssetsBOYAmt |
| Total Assets EOY | $420,288,845 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $54,074,772 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $41,317,127 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $346,355,261 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $378,971,718 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $471,868,232 | ExpenseAmt |
| Grant | $250,000 | GrantAmt |
| Revenue | $537,595,833 | RevenueAmt |
| Desc | PROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH. | Desc |
| Total Program Service Expenses | $471,868,232 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 25327 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID EVANS | PersonNm |
| Phone | 5032286554 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SW SECOND AVENUE | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert G Gootee | |||||||||
| CEO & PRESIDENT | 10.0 | 40.0 | Yes (X) | Yes (X) | $0 | $3,066,152 | $230,510 | ||
| William Johnson | |||||||||
| Senior Vice President | 1.0 | 50.0 | $0 | $929,812 | $116,055 | Yes (X) | |||
| Steven Wynne | |||||||||
| Executive Vice President | 10.0 | 40.0 | $0 | $876,712 | $116,445 | Yes (X) | |||
| Robin Richardson | |||||||||
| Senior Vice President | 2.5 | 47.5 | $0 | $828,850 | $102,772 | Yes (X) | |||
| Jay Lamb | |||||||||
| Senior Vice President | 25.0 | 25.0 | $0 | $882,023 | $11,146 | Yes (X) | |||
| David Evans | |||||||||
| Treasurer | 5.5 | 44.5 | Yes (X) | $0 | $741,276 | $114,255 | |||
| Chandra Wahrgren | |||||||||
| Senior Vice President | 10.0 | 40.0 | $0 | $661,028 | $99,998 | Yes (X) | |||
| Kraig Anderson | |||||||||
| Senior Vice President | 10.0 | 40.0 | $0 | $642,502 | $108,613 | Yes (X) | |||
| Thomas J Bikales | |||||||||
| Secretary | 12.5 | 37.5 | Yes (X) | $0 | $602,893 | $106,813 | |||
| Scott Loftin | |||||||||
| Senior Vice President | 20.0 | 30.0 | $0 | $588,777 | $88,890 | Yes (X) | |||
| Julia Ceballos | |||||||||
| Vice President | 10.0 | 40.0 | $0 | $547,474 | $70,338 | Yes (X) | |||
| Teri Barichello | |||||||||
| Vice President | 45.0 | 5.0 | $0 | $421,147 | $60,484 | Yes (X) | |||
| Mary Lou True | |||||||||
| Vice President | 10.0 | 40.0 | $0 | $367,192 | $64,049 | Yes (X) | |||
| James Francesconi | |||||||||
| Vice President | 10.0 | 40.0 | $0 | $349,988 | $57,787 | Yes (X) | |||
| Sue Hansen | |||||||||
| Vice President | 25.0 | 25.0 | $0 | $370,845 | $31,347 | Yes (X) | |||
| George Passadore | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $41,300 | $0 | |||
| Pat Nearing | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $40,300 | $0 | |||
| Kenneth Allen | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $37,000 | $0 | |||
| Mark Jensen | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $33,300 | $0 | |||
| Jill Eberwein | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $29,200 | $0 | |||
| David Howerton | |||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,057,771 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,379,502 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHAKTI SOLUTIONS | |||||
| 3160 Bee Caves Road 300B | AUSTIN | TX | 78746 | OFFSHORE/IT SUPPORT | $2,302,631 |
| AARETE LLC | |||||
| 200 E Randolph Street Suite 300 | CHICAGO | IL | 60601 | Financial Consulting | $4,646,714 |
| Red Card | |||||
| 744 OFFICE PARKWAY | ST LOUIS | MO | 63141 | Payment Processing | $4,158,894 |
| EDIFECS INC | |||||
| 1756 114th Ave SE | BELLEVUE | WA | 98004 | Consulting | $3,323,963 |
| Clarity Software Solutions Inc | |||||
| 92 Wall St 1 | MADISON | CT | 06443 | Software | $848,182 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DENTAL SERVICES | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $537,595,833 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $537,595,833 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $537,595,833 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,005,793 | TotalRevenueColumnAmt |
| Exclusion | $1,005,793 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,364,230 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $36,339 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,364,230 | SecuritiesAmt |
| Other | -$36,339 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,327,891 | TotalRevenueColumnAmt |
| Exclusion | $5,327,891 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INVESTMENT IN SUBSIDIARY | 900003 | $11,419,189 | $11,419,189 |
| EXPENSE REIMBURSEMENT | 900099 | $72,205,733 | $72,205,733 |
| ADMIN FEE | 900099 | $833,826 | $833,826 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$250,820 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$250,820 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $84,207,928 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $628,137,445 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $621,803,761 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,333,684 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,000 | TotalAmt |
| Program Services | $250,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,618,232 | TotalAmt |
| Program Services | $471,618,232 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,437,269 | TotalAmt |
| Management And General | $13,437,269 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,887,931 | TotalAmt |
| Management And General | $44,887,931 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,166,006 | TotalAmt |
| Management And General | $3,166,006 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,532,718 | TotalAmt |
| Management And General | $4,532,718 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,309,311 | TotalAmt |
| Management And General | $4,309,311 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760,109 | TotalAmt |
| Management And General | $760,109 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,085,079 | TotalAmt |
| Management And General | $1,085,079 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,168 | TotalAmt |
| Management And General | $159,168 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,668,575 | TotalAmt |
| Management And General | $4,668,575 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,323,917 | TotalAmt |
| Management And General | $1,323,917 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,178,217 | TotalAmt |
| Management And General | $19,178,217 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,816,806 | TotalAmt |
| Management And General | $4,816,806 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,724,427 | TotalAmt |
| Management And General | $5,724,427 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,128 | TotalAmt |
| Management And General | $239,128 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,026,655 | TotalAmt |
| Management And General | $5,026,655 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,110,495 | TotalAmt |
| Management And General | $1,110,495 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| COMMISSIONS AND BROKER FEES | $3,604,877 | $3,604,877 |
| LICENSES AND FEES | $1,583,987 | $1,583,987 |
| BOARDS AND ASSOCIATIONS | $648,360 | $648,360 |
| TAXES | $707,140 | $707,140 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,328,465 | TotalAmt |
| Management And General | $1,328,465 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594,166,872 | TotalAmt |
| Program Services | $471,868,232 | ProgramServicesAmt |
| Management And General | $122,298,640 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,950,690 | BOYAmt |
| EOY | $11,963,876 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $849,145 | BOYAmt |
| EOY | $349,145 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,821,617 | BOYAmt |
| EOY | $17,771,582 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,631,405 | BOYAmt |
| EOY | $4,619,422 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $103,746,676 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $82,510,473 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,518,604 | BOYAmt |
| EOY | $21,236,203 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,956,897 | BOYAmt |
| EOY | $46,973,272 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,553,066 | BOYAmt |
| EOY | $317,178,301 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,609 | BOYAmt |
| EOY | $197,044 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,430,033 | BOYAmt |
| EOY | $420,288,845 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,155,877 | BOYAmt |
| EOY | $26,571,811 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,918,895 | BOYAmt |
| EOY | $14,745,316 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,074,772 | BOYAmt |
| EOY | $41,317,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,000 | BOYAmt |
| EOY | $30,000 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,247,852 | BOYAmt |
| EOY | $19,247,852 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,077,409 | BOYAmt |
| EOY | $359,693,866 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,355,261 | BOYAmt |
| EOY | $378,971,718 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,430,033 | BOYAmt |
| EOY | $420,288,845 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $33,970,573 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,354,116 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,174,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,303,640 | DepreciationAmt |
| Book Value | $1,871,043 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,186,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,890,219 | DepreciationAmt |
| Book Value | $4,296,390 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,385,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,316,614 | DepreciationAmt |
| Book Value | $15,068,770 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,236,203 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS MARKET VALUE | -$9,677 | F |
| DEFERRED COMP. INVESTMENT | $5,028,369 | F |
| INVESTMENTS MONEY MARKET | $432,568 | F |
| INVESTMENT IN MODA HOLDINGS GR | $311,727,041 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $317,178,301 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED POLICY CLAIMS | $218,800 |
| PROVISION FOR REFUNDABLE REVENUE | $868,958 |
| DEFERRED COMP RESERVE | $5,028,369 |
| CAPITAL LEASE OBLIGATIONS | $1,416,261 |
| CONTINGENCY RESERVE | $313,745 |
| INCURRED BUT NOT REPORTED (IBNR) | $4,376,000 |
| ADVANCE DEPOSITS | $2,523,183 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,745,316 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $180,311,554 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $180,311,554 | RevenueSubtotalAmt |
| Other Revenues Not Included | $447,825,891 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $447,825,891 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $628,137,445 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $166,692,155 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $166,692,155 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $427,474,717 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $427,474,717 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $594,166,872 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART XI, LINE 4B | GAAP Accounting versus Statutory Accounting |
| SCHEDULE D, PART XII, LINE 4B | GAAP Accounting versus Statutory Accounting |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHSU Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1121 SW Salmon Street Suite 100 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 237083114 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $250,000 | CashGrantAmt |
| Purpose Of Grant | School of Dentistry | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Ln 2 | FormAndLineReferenceDesc |
| Explanation | Prior to granting funds the company scrutinizes the charitable organizations that it donates to and ensures they are credible organizations with well-established reputations for utilizing the funds that are donated. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kraig Anderson | ||||||||||||||
| Senior Vice President | $0 | $387,371 | $0 | $192,500 | $0 | $62,631 | $0 | $84,027 | $0 | $24,586 | $0 | $751,115 | $0 | $0 |
| Thomas J Bikales | ||||||||||||||
| Secretary | $0 | $363,424 | $0 | $182,500 | $0 | $56,969 | $0 | $82,227 | $0 | $24,586 | $0 | $709,706 | $0 | $0 |
| Robert G Gootee | ||||||||||||||
| CEO & PRESIDENT | $0 | $1,907,279 | $0 | $1,035,000 | $0 | $123,873 | $0 | $221,126 | $0 | $9,384 | $0 | $3,296,662 | $0 | $450,000 |
| Robin Richardson | ||||||||||||||
| Senior Vice President | $0 | $564,522 | $0 | $202,500 | $0 | $61,828 | $0 | $85,412 | $0 | $17,360 | $0 | $931,622 | $0 | $160,000 |
| David Evans | ||||||||||||||
| Treasurer | $0 | $452,752 | $0 | $225,000 | $0 | $63,524 | $0 | $89,669 | $0 | $24,586 | $0 | $855,531 | $0 | $0 |
| William Johnson | ||||||||||||||
| Senior Vice President | $0 | $639,412 | $0 | $235,000 | $0 | $55,400 | $0 | $91,469 | $0 | $24,586 | $0 | $1,045,867 | $0 | $160,000 |
| Chandra Wahrgren | ||||||||||||||
| Senior Vice President | $0 | $405,388 | $0 | $202,500 | $0 | $53,140 | $0 | $75,412 | $0 | $24,586 | $0 | $761,026 | $0 | $0 |
| Steven Wynne | ||||||||||||||
| Executive Vice President | $0 | $576,712 | $0 | $250,000 | $0 | $50,000 | $0 | $99,085 | $0 | $17,360 | $0 | $993,157 | $0 | $0 |
| Scott Loftin | ||||||||||||||
| Senior Vice President | $0 | $362,731 | $0 | $182,500 | $0 | $43,546 | $0 | $64,304 | $0 | $24,586 | $0 | $677,667 | $0 | $0 |
| Jay Lamb | ||||||||||||||
| Senior Vice President | $0 | $161,659 | $0 | $669,349 | $0 | $51,015 | $0 | $7,140 | $0 | $4,006 | $0 | $893,169 | $0 | $0 |
| Teri Barichello | ||||||||||||||
| Vice President | $0 | $330,747 | $0 | $60,000 | $0 | $30,400 | $0 | $51,100 | $0 | $9,384 | $0 | $481,631 | $0 | $40,000 |
| Julia Ceballos | ||||||||||||||
| Vice President | $0 | $457,074 | $0 | $60,000 | $0 | $30,400 | $0 | $45,752 | $0 | $24,586 | $0 | $617,812 | $0 | $158,888 |
| James Francesconi | ||||||||||||||
| Vice President | $0 | $264,588 | $0 | $55,000 | $0 | $30,400 | $0 | $40,427 | $0 | $17,360 | $0 | $407,775 | $0 | $40,000 |
| Mary Lou True | ||||||||||||||
| Vice President | $0 | $274,983 | $0 | $55,000 | $0 | $37,209 | $0 | $46,133 | $0 | $17,916 | $0 | $431,241 | $0 | $40,000 |
| Sue Hansen | ||||||||||||||
| Vice President | $0 | $286,487 | $0 | $70,000 | $0 | $14,358 | $0 | $21,963 | $0 | $9,384 | $0 | $402,192 | $0 | $40,000 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1 | With respect to the items checked in Question 1a, the organization does not have a written policy regarding reimbursement/payment. Expenses for first-class air travel are incurred from time to time when there is a legitimate business need. Such analysis is made on a case by case basis based on the facts and circumstances in question. It is not, for example, a policy of the organization to purchase first-class air tickets. On occasion, however, scheduling constraints or ticket availability may mean that it is in the best interest of the organization to incur the additional expense. Travel benefits are not treated as taxable compensation. |
| Part I, Line 4b | Supplemental Executive Retirement Account Program: Through the related organization Moda Partners, Inc. (FEIN 93-1083363), the Company's Supplemental Executive Retirement Account Program covers certain key employees and consists of two nonqualified defined contribution retirement plans in which eligibility is based on years of service as an executive level employee. Both plans are designed to be paid at or after retirement or other qualifying separation from service (e.g., death or disability). Deferred Compensation Plans: Through the related organization Moda Partners, Inc. (FEIN 93-1083363), the Company offers a nonqualified Deferred Compensation Plan to certain employees and to members of the Board of Directors of the company. The Employee Plan includes a Supplemental Benefit Schedule that provides for a company match, up to specified limits based on the level/rank of the employee, on amount of salary deferred by participants. Matched amounts are paid out along with each individual's salary deferrals based on elections made under the Plan. Defined Contribution Supplemental Executive Incentive Plan: The Company's Defined Contribution Supplemental Executive Incentive Plan covers its Chief Executive Officer and consists of a nonqualified defined contribution retirement plan in which vesting is based on the employment of the participant in the capacity as Chief Executive Officer on pre-defined calendar dates as well as certain other contingencies. The Plan is designed to be paid at or after retirement or other qualifying separation from service (e.g., death or disability). No payments were made during 2021. |
| Part II | All employees are legal employees of Moda Partners, Inc. (FEIN 93-1083363), which files all required federal employment forms each year. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (6 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| Robert G Gootee | |||||||
| CEO/President | Key Employee Retenti | Yes (X) | $6,000,000 | $6,000,000 | false | Yes (true) | Yes (true) |
| Kraig Anderson | |||||||
| Senior Vice President | Key Employee Retenti | Yes (X) | $160,000 | $160,000 | false | Yes (true) | Yes (true) |
| Thomas Bialkes | |||||||
| Secretary | Key Employee Retenti | Yes (X) | $160,000 | $160,000 | false | Yes (true) | Yes (true) |
| David Evans | |||||||
| Treasurer | Key Employee Retenti | Yes (X) | $160,000 | $160,000 | false | Yes (true) | Yes (true) |
| Scott Loftin | |||||||
| Senior Vice President | Key Employee Retenti | Yes (X) | $160,000 | $160,000 | false | Yes (true) | Yes (true) |
| Chandra Wahgren | |||||||
| Senior Vice President | Key Employee Retenti | Yes (X) | $160,000 | $160,000 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $6,800,000 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK JENSEN DMD LLC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | 50% Owned by Dir Jensen | RelationshipDescriptionTxt |
| Transaction | $200,527 | TransactionAmt |
| Transaction | DENTAL SERVICE PROVIDER | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part IV, Line 1 | FormAndLineReferenceDesc |
| Explanation | All employees are legal employees of Moda Partners, Inc. (FEIN 93-1083363), which files all required federal employment forms each year. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, SECTION A, QUESTION 2 | Oregon Dental Service board members also serve as board members for Moda Partners, Inc. and subsidiaries (see Sch. R) |
| PART VI, SECTION A, QUESTION 3 | The organization delegated control over management duties customarily performed by or under the direct supervision of officers, directors, or trustees, or key employees to Moda Partners, Inc. Moda Partners, Inc. provides certain administrative services including accounting, data processing, facilities, purchasing, legal and senior executive management. |
| PART VI, SECTION A, QUESTION 11 | A copy of the Form 990 was provided to the Compensation and Governance Committee of the Board of Directors which, per its charter and the authority delegated to it by the full Board, is responsible for all corporate governance issues and for reviewing and approving CEO and officer compensation. The entire Form 990 was made available to the Committee for review. Officers of the organization identified for the Committee critical areas and highlighted significant issues for review and discussion. The Committee Chair led the discussion and allowed Committee members full scope to comment on and question any and all disclosure contained in the Form 990. Minutes of the Committee meeting substantiating all deliberations and determinations were maintained. These minutes, together with any other information reported by Committee members, were then presented to the full Board for discussion and approval and the Form 990 was made available upon request to all Board members for further review. Actions of the full Board are recorded in the minutes of its meeting. |
| PART VI, SECTION B, QUESTION 12C | The organization's Corporate Compliance Committee is responsible for monitoring potential issues under and enforcing the provisions of the organization's Conflict of Interest Policy. The Corporate Compliance Committee is composed of high level individuals from a variety of departments (including, among others, Legal, Compliance, Human Resources, Privacy/Security and Accounting). The Committee operates under the authority of the Policy Committee of the organization's Board of Directors. The Committee monitors activities under the Conflict of Interest Policy via (i) annual disclosure statements from the Board and management and other self-reporting, (ii) investigations of issues that are brought to the attention of members of the Corporate Compliance Committee in accordance with the Organization's Code of Conduct and Employee Handbook and (iii) submissions of employees sent through the organization's confidential whistleblower reporting mechanism. When the Committee learns of the possibility of such conflicts of interest, the information is brought to the attention of (disinterested) members of senior management and/or members of the Board of Directors. The Committee then works with these individuals to make a determination, in accordance with the principles and procedures set forth in the Conflict of Interest Policy, as to whether a conflict exists and, if so, to decide what steps, including disciplinary action, should be taken. In addition, on an annual basis, and more frequently when circumstances arise, the organization's counsel, on behalf of the Committee, reports to the Policy Committee of the Board of Directors on activities of the Corporate Compliance Committee, including any actions or issues under the Conflict of Interest Policy. Counsel also conducts regular training sessions for the Board of Directors on the Conflict of Interest Policy and works directly with the officers of the corporation as they complete their annual disclosure statements. |
| PART VI, SECTION B, QUESTION 15 | In accordance with the Bylaws of the organization, compensation of the CEO is determined by the Board of Directors and compensation of the organization's officers (as well as its key employees and other highest compensated employees who are officers of an affiliate of the organization) is determined by the CEO under guidelines specified by the Compensation and Governance Committee of the Board of Directors and subject to approval by the Board of Directors. The Compensation and Governance Committee of the Board of Directors, per its charter and the authority delegated to it by the full Board, meets on an annual basis to discuss CEO and officer compensation. The CEO, who is a member of the Committee, recuses himself from all discussions and decisions relating to CEO compensation. Periodically, the Chairman of the Committee and the Chairman of the Board, who is a member of the Committee, work with a third party benefits consultant selected by the Committee to produce a compensation study that provides comparability data from the organization's peer group with respect to CEO and officer compensation. The study is provided to Committee members in advance of its meeting and it serves as a basis for the Committee's determination of CEO compensation and its review and approval of officer compensation. Minutes of the Committee meeting substantiating all deliberations and determinations are maintained. These minutes, together with any other information reported by Committee members, are then presented to the full Board for discussion and approval. Such actions of the full Board are recorded in the minutes of its meeting. Compensation for other key employees and highest compensated employees of the organization who are not officers of the organization or an affiliate is determined by the organization's Human Resources Department and is subject to review and approval by the CEO. Such pay levels are based on independent, third party compensation studies showing pay scales for corporations that are comparable in size and scope to the organization and reflect the employee's skills, experience, tenure and responsibilities with the organization. |
| PART VI, SECTION C, QUESTION 19 | The organization's governing documents, Conflict of Interest Policy and financial statements are not made available to the public. |
| PART VII, SECTION A | Oregon Dental Service does not have employees. All payroll filings are done under the Company: MODA PARTNERS, INC., EIN 93-1083363 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OREGON DENTAL ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3710 | AddressLine1Txt |
| City | WILSONVILLE | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97070 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930243383 | EIN |
| Primary Activities | DENTAL PROFES | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(6) | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ardon Health Holding LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10181 Scripps Gateway CT | AddressLine1Txt |
| City | San Diego | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821561337 | EIN |
| Primary Activities | Pharmaceuticals | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PayLess Drug St | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $6,601,939 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $96,734,987 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 1.00000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Moda Partners Inc | ||||||||||||
| 601 SW Second Avenue | Portland | OR | 972043156 | 931083363 | Holding Co | OR | Moda Holdings G | C | $9,774,220 | $539,986,401 | 1.00000 | Yes (true) |
| Moda Health Plan Inc | ||||||||||||
| 601 SW Second Avenue | Portland | OR | 97204 | 930989307 | Insurance | OR | Moda Holdings G | C | $14,789,903 | $347,600,222 | 1.00000 | Yes (true) |
| Benefithelp Solutions Inc | ||||||||||||
| 601 SW Second Avenue | Portland | OR | 97204 | 931135521 | Admin Services | OR | Moda Holdings G | C | $349,473 | $2,008,080 | 1.00000 | Yes (true) |
| ODS Community Health Inc | ||||||||||||
| 601 SW Second Avenue | Portland | OR | 97204 | 450528457 | Medicaid Ins. | OR | Moda Holdings G | C | $5,642,067 | $26,366,004 | 1.00000 | Yes (true) |
| Dentists Management Corporation | ||||||||||||
| 601 SW Second Avenue | Portland | OR | 97204 | 930792340 | Dev & Mkt Serv | OR | Moda Holdings G | C | -$39,697 | $949,097 | 1.00000 | Yes (true) |
| Payless Drug Stores Inc | ||||||||||||
| 16100 SW 72ND | Tigard | OR | 97224 | 931278451 | Pharm. Serv | OR | Moda Holdings G | C | $2,403,459 | $48,315,077 | 1.00000 | Yes (true) |
| Moda Holdings Group Inc | ||||||||||||
| 601 SW Second Ave | Portland | OR | 97204 | 831954813 | Holding Co | OR | Oregon Dental S | C | -$759,419 | $408,679,196 | 1.00000 | Yes (true) |
| Moda Assurance Company | ||||||||||||
| 601 SW Second Ave | Portland | OR | 97204 | 842008368 | Insurance | OR | Moda Holdings G | C | -$1,792,497 | $10,385,098 | 1.00000 | Yes (true) |
| Dental Commerce Corporation | ||||||||||||
| 601 SW Second Ave | Portland | OR | 97204 | 352410053 | Consumer Lend | OR | Moda PartnersI | C | -$863,745 | $7,721,364 | 0.70000 | Yes (true) |
| Summit Health Plan Inc | ||||||||||||
| 601 SW Second Avenue | Portland | OR | 97204 | 833295864 | Insurance | OR | Moda PartnersI | C | -$1,995,034 | $6,433,794 | 0.51710 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MODA Partners Inc | ||
| M | $32,684,704 | COST |
| MODA Partners Inc | ||
| O | $69,776,321 | COST |
| MODA Partners Inc | ||
| P | $7,499,969 | COST |
| MODA Partners Inc | ||
| B | $240,812 | COST |
| MODA Partners Inc | ||
| J | $185,304 | COST |
| MODA Partners Inc | ||
| Q | $81,083,066 | COST |
| Moda Holdings Group Inc | ||
| B | $100,000,000 | COST |